In order for your child to receive medication at school we must have the following:
1. A prescription medication must have 2 forms:
a. A Parent/Guardian form must be completed and signed by the parent and
b. A Physician Request for Medication form must be completed and signed by the physician.
2. All over-the-counter medications (including herbal) must be FDA approved and follow medication use and
guidelines. A Parent/Guardian form must be completed and signed by the parent. If it is outside the
recommended dosage then a Physician Request for Medication form must also be completed and signed.
3. Prescription, over-the-counter, and herbal medications must be in the original container/bottle.
4. Any questions, please contact Amber Thompson, R.N., School Nurse at 920-833-2306, extension 427 or
Carol Henke, Health Office Administrative Assistant at 920-833-2306, extension 426.